| NPI | 1285731471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME AP081601) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R047514) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-10-10 |