| NPI | 1720179419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP91021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN34850) |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: ME CNS84007) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-11-13 |