| NPI | 1588928212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP181239) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP013785) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2018-10-03 |