| NPI | 1336492669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP161124) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME CNP161124) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2351891) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: HI 1512) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 064370-23) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2351891) | |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2021-09-01 |