| NPI | 1891180733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161137) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002307) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2016-12-12 |