| NPI | 1922693589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP211428) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: ME RN52962) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2024-02-23 |