| NPI | 1770703811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP81810) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP81810) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2016-02-25 |