| NPI | 1982680187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP81605) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME R014918) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2013-02-05 |