| NPI | 1730282385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME F0607063) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R030879) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2015-02-17 |