| NPI | 1578527404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: ME CNP 81532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME R023878) |
| 363LX0106X Nurse Practitioner Occupational Health (Licence: ME CNP 81532) | |
| 363LS0200X Nurse Practitioner School (Licence: ME CNP 81532) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2015-06-22 |