| NPI | 1649892571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME 64240) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2025-10-08 |