| NPI | 1750399481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP161181) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: CO 129579) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2016-12-15 |