| NPI | 1548009954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 16108) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0137205) |
| 163W00000X Registered Nurse (Licence: WI 237514) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 16108) | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2025-02-17 |