| NPI | 1104527159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP231097) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN83639) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |