| NPI | 1730516782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 055676-23) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VT 026.0073350) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 464965-1) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 055676-21) | |
| Enumeration Date | 2013-10-06 |
| Last Update Date | 2024-03-12 |