| NPI | 1043929110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP221548) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP221548) |
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME RN66507) | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-08-21 |