| NPI | 1508050782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081101) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R027346) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2013-02-05 |