| NPI | 1073638268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN13942) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2014-11-26 |