| NPI | 1861478117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081095) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R016461) |
| 171100000X Acupuncturist (Licence: ME AC128) | |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-02-05 |