| NPI | 1962437152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME MM3521742) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 03067523) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2024-06-13 |