| NPI | 1093336869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN76342) |
| 163W00000X Registered Nurse (Licence: MA RN2320478) | |
| Enumeration Date | 2020-05-02 |
| Last Update Date | 2020-10-21 |