| NPI | 1326765538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 0000000100034388) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 92948) |
| Enumeration Date | 2022-10-27 |
| Last Update Date | 2025-02-21 |