| NPI | 1306818976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81417) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 048186) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2015-11-17 |