| NPI | 1538172218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 002931) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 002931) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2023-08-14 |