NPI | 1003366709 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP161143) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP161143) |
Enumeration Date | 2016-10-06 |
Last Update Date | 2020-10-26 |