| NPI | 1316465636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP171078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN61814) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |