| NPI | 1336218684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: ME R029424) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: ME R029424) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2011-12-16 |