| NPI | 1215475942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP181095) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN72450) |
| 163W00000X Registered Nurse (Licence: MA 2306355) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 2306355) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2018-06-12 |