| NPI | 1841240587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME R039620) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME R039620) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2017-04-10 |