| NPI | 1730135039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R030965) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2015-05-26 |