| NPI | 1871811737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP111038) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R057015) |
| 363LF0000X Nurse Practitioner Family (Licence: ME AP111038) | |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2021-10-20 |