| NPI | 1487959599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME RN58098) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R058098) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: ME RN58098) | |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2019-02-11 |