| NPI | 1336474774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP141085) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 51878-23) |
| Enumeration Date | 2009-10-02 |
| Last Update Date | 2014-10-22 |