| NPI | 1316906662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81354) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN28750) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2016-02-17 |