| NPI | 1700236742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP161129) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN65504) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2022-11-08 |