| NPI | 1255965190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201232) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME RN38531) |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2022-07-05 |