| NPI | 1881672988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121019) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 032355-23) |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2018-12-18 |