| NPI | 1629022132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP081459) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME R021748) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-10-16 |