| NPI | 1629317466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP131075) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: HI 1545) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2025-05-19 |