| NPI | 1386066470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5602) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005602) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2018-05-16 |