| NPI | 1518476647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8679) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI 65000) |
| 163W00000X Registered Nurse (Licence: CT 166902) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2361143) | |
| 163W00000X Registered Nurse (Licence: LA 95520) | |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2023-04-06 |