| NPI | 1528506300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP161195) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN69093) |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2022-05-17 |