| NPI | 1295049187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP101048) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP101048) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2021-12-16 |