| NPI | 1538593892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP201147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN63374) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2020-08-11 |