| NPI | 1235369620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP91026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP091026) |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2018-11-05 |