| NPI | 1437155884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME AP081480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RO35933) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2010-07-08 |