| NPI | 1942855069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101-0134390) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VT 026.0097901) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-11-27 |