| NPI | 1881818409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5005932) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005932) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP201512) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2025-09-02 |