| NPI | 1154331346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0125069) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN229184) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 7456) | |
| 363LF0000X Nurse Practitioner, Family (Licence: ME CNP161188) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP161188) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN229184) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0125069) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 7456) | |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2025-10-29 |