NPI | 1255031852 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP251389) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11719) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP251389) | |
Enumeration Date | 2023-03-03 |
Last Update Date | 2025-07-02 |