| NPI | 1215427570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP241442) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP241442) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP241442) | |
| Enumeration Date | 2018-05-12 |
| Last Update Date | 2025-08-26 |