| NPI | 1215522149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221220) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: ME RN75479) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2022-08-15 |