| NPI | 1881671345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD AC001746) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RO32359) |
| 363LF0000X Nurse Practitioner Family (Licence: WI 7655) | |
| 363LF0000X Nurse Practitioner Family (Licence: ME CNP81518) | |
| 363LF0000X Nurse Practitioner Family (Licence: IN 71007240A) | |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2021-12-28 |