| NPI | 1619301363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP191220) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP013140) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R183798) | |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2025-03-12 |