| NPI | 1154758589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP141100) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA sp012988) |
| 363L00000X Nurse Practitioner (Licence: NH 084616-23) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP141100) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-08-23 |