| NPI | 1801250279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP101056) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: ME RN57101) |
| 163WC1500X Registered Nurse, Community Health (Licence: NY 464954-1) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY F331708-1) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |