| NPI | 1578571402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81727) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R049452) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-06-07 |