| NPI | 1932474095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME R057551) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251550) |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2025-09-11 |