| NPI | 1649603366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP131070) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME CNP131070) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2018-02-09 |