| NPI | 1144609801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP151052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN54490) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP151052) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP151052) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2019-02-19 |