| NPI | 1609314319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171173) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2306805) |
| 163W00000X Registered Nurse (Licence: ME RN69110) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2019-03-27 |