| NPI | 1215043757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R024901) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2013-02-05 |