| NPI | 1558474163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV 112078) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 000281) |
| 163W00000X Registered Nurse (Licence: MA 2269658) | |
| 163W00000X Registered Nurse (Licence: CT 071319) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-10-16 |