| NPI | 1073628376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81388) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME 038985) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2012-07-02 |