| NPI | 1578943916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 101.0110975) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NH 071600-23) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VA 0024183793) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-11-09 |