| NPI | 1467548578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP81643) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME R016719) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2014-12-01 |