| NPI | 1619037454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211652) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 55392) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007510) | |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2023-02-27 |