| NPI | 1710404769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171074) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 118768-23) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2026-09-10 |