| NPI | 1194862797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0014830) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 035542-23) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME AP111019) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-14 |