| NPI | 1326552324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP221407) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704296894) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704296894) | |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2022-08-08 |