| NPI | 1477341725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 407667) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NY 775090) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 15137) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 196200) | |
| Enumeration Date | 2025-04-28 |
| Last Update Date | 2025-11-14 |