| NPI | 1124316484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ME CNP131017) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 056674-23) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-02-13 |