| NPI | 1871306183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP251243) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 078513-21) |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-10-09 |