| NPI | 1578819884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 005035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 98808) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: CT ANCC2012007952) | |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2023-03-07 |