| NPI | 1972141034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP211084) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME RN65220) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2021-04-29 |