| NPI | 1891764189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP131049) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 101-0026324) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2014-04-09 |