| NPI | 1144425380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081835) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081835) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME AP081835) | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2011-06-01 |