| NPI | 1063533941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81413) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081413) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2021-02-19 |