| NPI | 1659813483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10832) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R178804) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 10832) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R178804) | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2025-12-04 |