| NPI | 1285610493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP81608) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME R025597) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-02-05 |