| NPI | 1942751854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310575) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP251344) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: ME CNP251344) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: ME CNP251344) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2025-09-05 |