| NPI | 1316376049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP171183) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: VA 0001239529) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-02-01 |