| NPI | 1649422528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081062) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R045583) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2010-02-22 |