| NPI | 1912013616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP81134) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: ME 016448) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-04-01 |