NPI | 1538882634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME 2000518317) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN64687) |
Enumeration Date | 2022-09-22 |
Last Update Date | 2025-01-08 |