| NPI | 1548356900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP81772) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN20742) |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: ME CNS84119) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2012-09-10 |