| NPI | 1265789663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP121082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN58956) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2026-05-28 |