| NPI | 1497346035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP201509) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN64126) |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-02-08 |