NPI | 1306581335 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11985) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 145160) |
Enumeration Date | 2022-05-04 |
Last Update Date | 2023-06-08 |