| NPI | 1992177026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2292099) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201480) |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 084154-23) | |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2023-11-22 |