| NPI | 1023778537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13186) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: NY 697121-01) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F404246) | |
| Enumeration Date | 2021-12-23 |
| Last Update Date | 2024-10-04 |