| NPI | 1760921647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 006959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 093616) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2021-09-23 |