| NPI | 1699240226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME F06180558) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: ME CNP181220) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2020-02-06 |