| NPI | 1598176273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10052) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 316587) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10052) | |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2024-04-15 |