| NPI | 1376733493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081881) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME AP081881) |
| 363LF0000X Nurse Practitioner, Family (Licence: ME AP081881) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2012-04-02 |