| NPI | 1912284316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: ME CNP221579) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME CNP221579) |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: MA RN189769) | |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2024-08-09 |