| NPI | 1922073220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 041833-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP 81889) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2016-01-14 |