| NPI | 1679838791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP121068) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN53241) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2021-11-10 |