| NPI | 1912478926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP181311) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE L1-0050007) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-01-28 |