| NPI | 1386994903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP121096) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: ME RN59717) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-10-08 |