| NPI | 1518166636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081728) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R-027780) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-11-12 |