| NPI | 1336186568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081018) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R034508) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-08-07 |