| NPI | 1104802313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 10319) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME R95775) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP8112) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-08-06 |