| NPI | 1003829987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81194) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R029629) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2021-03-03 |