| NPI | 1891807004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 043300-2303) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 81350) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2025-03-10 |