| NPI | 1366411001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081086) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 029171) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2013-03-22 |