| NPI | 1790732899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.0019912) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VT 1010019912) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2021-07-20 |