| NPI | 1265769210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 101.0083502) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0043536) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2020-02-11 |