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 |