NPI | 1467228171 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 15226) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 176983) |
Enumeration Date | 2023-12-04 |
Last Update Date | 2025-09-30 |