| NPI | 1598868572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: ME 040120) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME R040120) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2011-10-31 |