| NPI | 1831488477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP171067) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: ME DI825) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2022-09-08 |