| NPI | 1023129723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 177120) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R048157) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-12-06 |