| NPI | 1235600693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP191014) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: ME RN50922) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2019-02-12 |