| NPI | 1982011086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP141023) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN62408) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2015-04-08 |