| NPI | 1720026818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 032127-23-05) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ME R053144) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-10-03 |