| NPI | 1073394524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP261101) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN272527) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: ME CNP261101) | |
| Enumeration Date | 2023-10-11 |
| Last Update Date | 2026-03-05 |