| NPI | 1477111086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: ME RN47705) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: ME RN47705) |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-05-30 |