| NPI | 1093573776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6547) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: CT 6547) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: CT 6547) | |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |