| NPI | 1093001646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 060155-23) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024189566) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN284637) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2025-02-12 |