| NPI | 1609446285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10174) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: CT 10.106015) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-12-11 |