| NPI | 1558855494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP181114) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP1181114) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-09-19 |