| NPI | 1699852350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME R034891) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-01-28 |