| NPI | 1083249429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 011979) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 207210) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R187498) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024186692) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11015301) | |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2024-03-20 |