| NPI | 1396896650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R017624) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2013-02-05 |