NPI | 1912969668 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP91034) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN43972) |
Enumeration Date | 2006-04-06 |
Last Update Date | 2015-01-23 |