| NPI | 1780193235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 08350-23) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2021-04-22 |