| NPI | 1356658462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP241578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 240420) |
| Enumeration Date | 2010-09-10 |
| Last Update Date | 2025-01-29 |