| NPI | 1003886599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0086663) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 3336954405) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA RN2295461) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0886663) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2018-10-12 |