| NPI | 1538905534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13911) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 112575) |
| 163W00000X Registered Nurse (Licence: NY 887933) | |
| 163W00000X Registered Nurse (Licence: NJ 26NR25111900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F406230) | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-03-17 |