| NPI | 1255406633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81181) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: ME CNS84085) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2014-11-26 |