| NPI | 1780784652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME 131091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME 63999) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2013-11-05 |