| NPI | 1740990563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: ME CNP221628) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: ME CNP221628) |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |