| NPI | 1942403258 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 073254-23)  | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672982)  | 
| 207Q00000X Family Medicine (Licence: ME AP081841)  | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F338312)  | |
| 163W00000X Registered Nurse (Licence: ME R051908)  | |
| Enumeration Date | 2007-06-06 | 
| Last Update Date | 2022-10-05 |