| NPI | 1174097331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8209) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 816263) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NJ 26NJ01120900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11005195) | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2023-03-19 |