| NPI | 1700549292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 069017-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP211660) |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2022-04-06 |