| NPI | 1629227970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81950) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: ME RN53005) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2024-09-24 |