| NPI | 1558943589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 779192) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-11-13 |