| NPI | 1063485035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81059) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81059) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R046051) | |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2021-03-30 |