| NPI | 1508260530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP141055) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME RN58728) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-09-24 |