| NPI | 1427032432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81113) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 036390-23) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2017-02-27 |