| NPI | 1144801226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP211254) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: ME RN39572) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-11-27 |