| NPI | 1912077504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: ME CNP81691) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: ME R039808) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-05-15 |