| NPI | 1275034480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 7483) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT AP7483) |
| 363LF0000X Nurse Practitioner Family (Licence: TX AP136628) | |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2025-03-06 |