| NPI | 1114171303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003899) |
| Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: CT 003899) |
| 363L00000X Nurse Practitioner (Licence: CT 3899) | |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2012-05-09 |