| NPI | 1699782623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP211468) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: NH 047934-23) |
| 208M00000X Hospitalist (Licence: NH 047934-23) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2021-12-21 |