| NPI | 1982855623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 065579-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME AP081917) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2012-03-21 |