| NPI | 1578876744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME AP101042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI 084776-23) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP101042) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI 084776-23) | |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2024-06-04 |