| NPI | 1861678781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP101026) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN55663) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2018-12-05 |