| NPI | 1619405347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP171060) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ME CNP171060) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2021-10-21 |