| NPI | 1003073024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP121012) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA 274045) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP121012) | |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: ME CNP121012) | |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2025-04-02 |