| NPI | 1851643548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121083) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN62330) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2016-08-22 |