| NPI | 1386198539 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP181001) | 
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CO 00000000000000000000) | 
| 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: ME RN74316) | |
| Enumeration Date | 2016-08-04 | 
| Last Update Date | 2024-09-24 |