| NPI | 1871547141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: ME APO81100) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME RO51002) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 250334) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-09-29 |