| NPI | 1134385552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP171031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN69629) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP007094) | |
| 367A00000X Advanced Practice Midwife (Licence: ME CNM172002) | |
| 367A00000X Advanced Practice Midwife (Licence: PA MW008253L) | |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2023-08-01 |