| NPI | 1811795008 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP251061) | 
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP251061) | 
| Enumeration Date | 2025-03-04 | 
| Last Update Date | 2025-03-26 |