| NPI | 1770964728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP151201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN64322) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2018-02-01 |