| NPI | 1740627132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211439) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 379668) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH COA.14639-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024190203) | |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2024-05-31 |