| NPI | 1265861942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 040469-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP221614) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP221614) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2025-03-04 |