| NPI | 1215913421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81095) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R030254) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-02-05 |