| NPI | 1659813483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 10832) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R178804) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-05-16 |