| NPI | 1609159276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN40707) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2018-03-17 |