| NPI | 1770524852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81582) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME R041121) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-04-06 |