NPI | 1841878113 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP251367) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP023260) |
363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP023260) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP023260) | |
Enumeration Date | 2021-03-30 |
Last Update Date | 2025-06-20 |