| NPI | 1669071601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP211074) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: MA RN2304640) |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2021-11-17 |