| NPI | 1578814141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP121113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN39349) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2013-05-17 |