| NPI | 1215029970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP121029) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0020832) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-01-29 |