| NPI | 1295217958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP181111) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: ME RN68856) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-12-04 |