| NPI | 1598242026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP181081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN47284) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: ME 11021) | |
| 225700000X Massage Therapist (Licence: ME MT1574) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NH 078816-23) | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2023-11-16 |