| NPI | 1922531011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP231278) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 074678-21) |
| 163W00000X Registered Nurse (Licence: MA 2310377) | |
| 363L00000X Nurse Practitioner (Licence: NH 074678-23) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MA RN2310377) | |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-07-24 |