| NPI | 1003482522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP211206) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: ME NA) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2023-05-10 |