| NPI | 1750487641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81196) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R024029) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-03-03 |