| NPI | 1366428435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP81116) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ME R023850) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-02-01 |