| NPI | 1083644637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP81066) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: ME R045704) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-02-23 |