| NPI | 1932163599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME AP081937) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: ME r019412) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2011-12-12 |