| NPI | 1144742859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN63467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME CNP171048) |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2017-07-20 |