| NPI | 1720074909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN250536) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006318) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME AP091058) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 200550145NP) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2025-06-19 |