NPI | 1083172811 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7942) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 7942) |
Enumeration Date | 2019-03-11 |
Last Update Date | 2020-06-30 |