| NPI | 1013909183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: ME R035556) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME R035556) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME R035556) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |