| NPI | 1104839448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP81968) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME AP081968) |
| 363L00000X Nurse Practitioner (Licence: NY 301069) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-11-05 |