| NPI | 1528097763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP121073) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ME AM082067) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2016-11-29 |