NPI | 1124680707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201281) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VT 101.0134354) |
363LG0600X Nurse Practitioner, Gerontology (Licence: ME CNP201281) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: ME CNP201281) | |
Enumeration Date | 2019-07-03 |
Last Update Date | 2025-03-20 |