NPI | 1669029310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9198) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 122720) |
Enumeration Date | 2019-08-19 |
Last Update Date | 2020-10-05 |