| NPI | 1649357930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: ME AP081723) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: ME R014564) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-12-12 |