| NPI | 1053380741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81366) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 049232) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-05-23 |