| NPI | 1629506738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0106X Nurse Practitioner, Occupational Health (Licence: ME CNP171028) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP171028) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2017-06-02 |