| NPI | 1487321592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211406) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME RN77421) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-02-12 |