| NPI | 1962481283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP81049) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME AP081049) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2014-10-31 |