| NPI | 1083834220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111119) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MA 114954) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2012-01-04 |