NPI | 1457015307 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP251221) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 11280) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP251221) | |
Enumeration Date | 2021-10-27 |
Last Update Date | 2025-05-14 |