| NPI | 1063885531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 062052-23) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP151126) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2022-07-05 |