| NPI | 1689027542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 077384-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181041) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 342800) | |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN01407) | |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2020-01-31 |