| NPI | 1366443418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA 124645) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA 124645) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 124645) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MA 124645) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: NH 074530-23) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP171001) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2018-01-25 |