| NPI | 1528357084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2328654) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R058308) |
| 163W00000X Registered Nurse (Licence: MA RN2328654) | |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2018-12-20 |