| NPI | 1932193679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: ME AP081657) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: ME R025924) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: MA RN2297592) | |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-05-28 |