| NPI | 1144605528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP151091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN62458) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP10815) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-01-22 |