| NPI | 1720250178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R 206577-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081316) |
| 163WG0000X Registered Nurse, General Practice (Licence: ME RN24790) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2012-06-21 |