| NPI | 1770648685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: ME CNP81258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME 50903) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2022-12-20 |