| NPI | 1679636682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003505) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E35494) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 2006002567) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: CT CSP.0040738) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-05-20 |