| NPI | 1467019182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211200) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ME RN67499) |
| 163WC0400X Registered Nurse, Case Management (Licence: ME RN67499) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2021-05-27 |