| NPI | 1730226234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME AP091068) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP577982) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2010-08-12 |