| NPI | 1811041916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP81151) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN31989) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2012-10-17 |