| NPI | 1811512668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN53734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP201051) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-11-23 |