| NPI | 1215563168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12.008785) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2379421) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404840) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0135987) | |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2025-10-06 |