| NPI | 1568691061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP211053) |
| Additional Taxonomies | 163WR0006X Registered Nurse Registered Nurse First Assistant (Licence: ME RN77611) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2021-07-26 |