| NPI | 1417995994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81289) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME R014134) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2020-04-03 |