| NPI | 1881960458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191008) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 16605) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2019-03-05 |