| NPI | 1487759759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME AP081651) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME AP081651) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2013-12-03 |