| NPI | 1366631384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81888) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R043738) |
| 363L00000X Nurse Practitioner (Licence: NH 086926-23) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81888) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2025-02-19 |