| NPI | 1184403958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP241205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN56408) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2024-07-10 |