| NPI | 1710976451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME R 022412) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ME R 022412) |
| Enumeration Date | 2005-10-16 |
| Last Update Date | 2011-07-10 |