| NPI | 1548822000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8329) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 8329) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 8329) | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-06-15 |