| NPI | 1811244320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 063028-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161018) |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 353157) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2023-12-15 |