| NPI | 1104443803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP211052) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: ME RN73938) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP211052) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP211052) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-05-08 |