| NPI | 1548935158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211298) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 085813-23) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2025-01-27 |