| NPI | 1659609584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 004231) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 20163920) |
| 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: CT 20163920) | |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2023-04-25 |