| NPI | 1578085544 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP171072) | 
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME CNP171072) | 
| Enumeration Date | 2017-07-12 | 
| Last Update Date | 2025-08-04 |