| NPI | 1336117159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN28270) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2017-06-20 |