| NPI | 1922263078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP151093) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 188690) |
| 163W00000X Registered Nurse (Licence: ME RN49087) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2017-03-21 |