| NPI | 1659978146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2302477) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME 69346) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME 201427) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2023-06-09 |