| NPI | 1851913875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11020617) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11020617) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201122) | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2025-11-12 |