| NPI | 1598253726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 7521) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 7521) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 7521) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-04-30 |