| NPI | 1760813430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN59802) |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2021-10-22 |