| NPI | 1013340421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN2262045) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 112820) |
| 163W00000X Registered Nurse (Licence: CO 1628740) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 991442) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 005474) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2019-04-29 |