| NPI | 1285887158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R037527) |
| 163WS0200X Registered Nurse, School (Licence: ME R037527) | |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-29 |