| NPI | 1801846563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81050) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 082258-23) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2025-02-20 |