| NPI | 1396799169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH ARNP0416872308) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH RN04168721) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-03-03 |