| NPI | 1366935876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 009889) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 81642) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT 81642) | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-01-17 |