| NPI | 1528018207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9296647) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R022524) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-03-12 |