NPI | 1750920799 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161033) |
Additional Taxonomies | 364SP0812X Clinical Nurse Specialist, Psych/Mental Health, Community (Licence: MI 4704333807) |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AK 109346) | |
103TB0200X Psychologist, Cognitive & Behavioral (Licence: AK 109346) | |
103TC0700X Psychologist, Clinical (Licence: AK 109346) | |
103TP0016X Psychologist, Prescribing (Medical) (Licence: AK 109346) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: MI 4704333807) | |
364SC0200X Clinical Nurse Specialist, Critical Care Medicine (Licence: MI 4704333807) | |
Enumeration Date | 2019-12-21 |
Last Update Date | 2020-05-06 |