| NPI | 1972352201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ME CNP241212) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP241212) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: ME CNP241212) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: ME CNP241212) | |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-06-04 |