| NPI | 1578678017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5001797) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R047125) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 653939) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ME R047125) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-12-17 |