| NPI | 1356783609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP131074) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: ME RN60902) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2016-12-01 |