| NPI | 1063200574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 115395-23) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN57028) |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-09-05 |