| NPI | 1750578092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ME AP081618) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: ME R040922) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-10-31 |