| NPI | 1720129406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 059656-23) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA 235145) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-05-28 |