| NPI | 1972205185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP251044) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 084800-23) |
| 163W00000X Registered Nurse (Licence: NH 084800-21) | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2025-04-03 |