| NPI | 1073008736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 061546-23) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: ME CNP181147) |
| 363L00000X Nurse Practitioner (Licence: ME CNP181147) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2020-06-23 |