| NPI | 1992245567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0128688) |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2022-07-21 |