| 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) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2018-06-21 |