| NPI | 1134468044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2017-09-16 |