| NPI | 1770039059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231053) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8687) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-03-10 |