| NPI | 1538628060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP191049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME RN53146) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-06-19 |