| NPI | 1851585111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2375723) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81851) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9411051) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2023-08-02 |