| NPI | 1124580857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME RN54443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP191043) |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2023-03-07 |