| NPI | 1003255746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP211264) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ME RN64471) |
| Enumeration Date | 2013-06-16 |
| Last Update Date | 2023-12-01 |