| NPI | 1518278134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP101034) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA RN2307086) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: ME CNP101034) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2024-07-31 |