| NPI | 1730793522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9483) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT e61035) |
| 163WH0200X Registered Nurse, Home Health (Licence: MA rn2292595) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 9483) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2024-03-07 |