| NPI | 1558738781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0114057) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101.0114057) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-02-01 |