| NPI | 1700316072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP171080) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN2910542) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-01-07 |