| NPI | 1861424657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: NH 041675-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME 48567) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2023-02-24 |