| NPI | 1609022474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME R054879) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME R054879) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-12-01 |