| NPI | 1316926520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081678) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R023599) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2011-10-25 |