| NPI | 1457742009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP171085) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R203065) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R203065) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2020-07-29 |