| NPI | 1902405582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP241693) |
| Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OR 200441874) |
| 163WH0200X Registered Nurse, Home Health (Licence: WA 60699055) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10000620) | |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2025-11-06 |