| NPI | 1952137028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP251405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN53998) |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2026-04-02 |