| NPI | 1881075802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 053982-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP141122) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2019-08-01 |