| NPI | 1295563187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 112619-23) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2377723) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP261674) | |
| 363L00000X Nurse Practitioner (Licence: ME CNP261674) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP261674) | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2026-08-26 |