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 |