| NPI | 1871333948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12789) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241280) |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2025-08-29 |