| NPI | 1811503808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP221488) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ME RN75556) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11022002) | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-12-19 |