| NPI | 1750945986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP211196) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211196) |
| 163W00000X Registered Nurse (Licence: ME rn67508) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2023-11-21 |