| NPI | 1598302309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP191308) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: ME RN63648) |
| Enumeration Date | 2019-11-30 |
| Last Update Date | 2020-06-17 |