| NPI | 1366895799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9854) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9275903) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9275903) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2021-08-13 |