| NPI | 1740801471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153278) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2020-07-30 |