| NPI | 1023881349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP251145) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN74649) |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2025-09-09 |