| NPI | 1043346703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP012100) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9490309) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0135265) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-11-17 |