| NPI | 1053646737 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP231296) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ME CNM132003) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2025-01-29 |