| NPI | 1154547479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R051730) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2010-09-02 |