| NPI | 1508840091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81440) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 0390656) |
| 363L00000X Nurse Practitioner (Licence: ME CNP81440) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2024-01-25 |