| NPI | 1417690421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 013125) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 832756) |
| 163W00000X Registered Nurse (Licence: CT 173460) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404259) | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2025-09-25 |