| NPI | 1457559601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0020043) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F 420849-1) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-02-02 |