| NPI | 1023579885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 008579) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME cnp211331) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2333364) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2022-12-09 |