| NPI | 1598564684 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP251309)  | 
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: ME CNP251309)  | 
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP251309)  | |
| 163W00000X Registered Nurse (Licence: ME RN64720)  | |
| Enumeration Date | 2025-03-11 | 
| Last Update Date | 2025-07-08 |