| NPI | 1356112965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP231577) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP231577) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-12 |