| NPI | 1720693138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231098) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 090946-23) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-11-15 |