| NPI | 1376399626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13098) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405837) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029778) | |
| Enumeration Date | 2024-04-27 |
| Last Update Date | 2024-09-03 |