| NPI | 1023314887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP71001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 063939-23) |
| Enumeration Date | 2011-01-26 |
| Last Update Date | 2016-01-20 |