| NPI | 1245494095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81912) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R053034) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2020-11-16 |