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 |