| NPI | 1134805898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 12214) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 186022) |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2023-08-07 |