| NPI | 1881649283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME R051152) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NH 035703-23-06) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-12-15 |