| NPI | 1336683952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9683) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721300) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402373-1) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2024-01-10 |