| NPI | 1649521352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 005149) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 005149) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 005149) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 5149) | |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2023-07-21 |