| NPI | 1023180924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 1010020508) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: VT 101-0020508) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-09-21 |