| NPI | 1346223666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81549) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R017376) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2017-04-03 |