| NPI | 1700772274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 15176) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 211512) |
| Enumeration Date | 2025-06-13 |
| Last Update Date | 2025-08-04 |