| NPI | 1366439929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81238) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R024050) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2016-05-23 |