| NPI | 1962736041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP211116) |
| Additional Taxonomies | 176B00000X Midwife (Licence: ME AM092004) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2023-04-13 |