| NPI | 1023430865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP161007) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: VT 101.0100142) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2025-10-15 |