| NPI | 1710608161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP251111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9405903-3102) |
| Enumeration Date | 2022-09-05 |
| Last Update Date | 2025-03-27 |