| NPI | 1396723540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME R025767) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 054173-23-03) |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2007-07-08 |