| NPI | 1902156128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5005879) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP191322) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2024-02-27 |