| NPI | 1336833672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 093301-23) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: NH 093301-23) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 093301-23) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2309030) | |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2024-05-17 |