| NPI | 1023256344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA 261628) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161023) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2016-04-12 |