| NPI | 1376659102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81008) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R037386) |
| 363L00000X Nurse Practitioner (Licence: ME CNP81008) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-04-01 |