NPI | 1457529083 |
---|---|
Former Name | KELLY LYNN MORIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81885) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN46427) |
Enumeration Date | 2008-02-18 |
Last Update Date | 2012-10-12 |