| NPI | 1417133349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNS84145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME R021854) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-10-29 |