| NPI | 1760433619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP111016) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 211346) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2012-01-02 |