| NPI | 1932698354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2331172) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0133215) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 077841-23) | |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2024-01-09 |