| NPI | 1366010100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP241340) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 163571) |
| 163W00000X Registered Nurse (Licence: ME RN87694) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 9905) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: CT 9905) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2024-08-08 |