| NPI | 1538892740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP221329) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: ME RN77634) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-08 |