| NPI | 1285062562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0102238) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101-0102238) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2022-08-01 |