| NPI | 1922328491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024177112) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 071198-23) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP161112) | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2022-09-14 |