| NPI | 1740761485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ME117251) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 3327192) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 3327192) | |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2025-03-13 |