| NPI | 1669604112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN241510) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 048111-23) | |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2018-07-17 |