| NPI | 1689148058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP211204) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MD R214764) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-01-18 |
| Last Update Date | 2021-08-11 |