| NPI | 1649792482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP241138) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NY 304460) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2024-10-22 |