| NPI | 1093164188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN55400) |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173519) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2017-12-29 |