| NPI | 1235535451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 14965) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2258496) |
| Enumeration Date | 2014-11-16 |
| Last Update Date | 2025-08-15 |