| NPI | 1396226551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7791) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2267746) |
| 163W00000X Registered Nurse (Licence: CT 128959) | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2026-07-23 |