| NPI | 1043786551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP201074) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2324572) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 068174-23) | |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2020-08-04 |