| NPI | 1649835224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME 201003) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA 2279869) |
| 363L00000X Nurse Practitioner (Licence: NH 07983023) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME 201003) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 07983023) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA 2279869) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: ME 201003) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MA 2279868) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 07983023) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: ME 201003) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 07983023) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2023-03-21 |