NPI | 1275034480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7483) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT ap7483) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP136628) | |
Enumeration Date | 2018-02-22 |
Last Update Date | 2025-03-06 |