| NPI | 1780729954 |
|---|---|
| Former Name | JENNIFER LEE EILTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP141074) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: ME CC2410) |
| 163W00000X Registered Nurse (Licence: ME RN59388) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2015-03-30 |