| NPI | 1295997070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN25673) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2013-09-19 |