| NPI | 1255430625 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 569) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 000569) | 
| Enumeration Date | 2006-09-22 | 
| Last Update Date | 2025-08-11 |