| NPI | 1437543493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN209398) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0120889) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401914-1) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 073114-23) | |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2020-03-11 |