| NPI | 1912284316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221579) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: MA RN189769) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2022-12-05 |