| NPI | 1427001247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP111037) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NJ 26NJ00017500) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP111037) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-02-05 |