| NPI | 1205215589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP181190) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN72984) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2020-09-17 |