| NPI | 1265496368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81586) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R041286) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2013-02-21 |