| NPI | 1700518644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME cnp231173) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1074478) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-06-21 |