| NPI | 1821020884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP171125) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MD R087379) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2018-05-01 |