| NPI | 1033627237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP191293) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA RN2312246) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 2312246) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2020-01-13 |