| NPI | 1639604440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME CNP171043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP171043) |
| 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: ME CNP171043) | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2019-06-03 |