| NPI | 1427022862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081381) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: ME R035106) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2011-05-19 |