| NPI | 1891306817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP201199) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME CNP201199) |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2024-07-08 |