| NPI | 1114214509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111039) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP111039) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2022-02-03 |