| NPI | 1265453625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP81847) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R045775) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2017-05-12 |