| NPI | 1295136356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP141090) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN63158) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2021-08-16 |