| NPI | 1811367188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181275) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 6222) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2023-02-09 |