| NPI | 1285043851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 7960) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TX AP126187) |
| 363LF0000X Nurse Practitioner Family (Licence: CT 7960) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2022-04-09 |