| NPI | 1417309766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161108) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: ME RN65484) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-08-16 |