| NPI | 1780371971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 11929) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 143457) |
| 163W00000X Registered Nurse (Licence: CT 143457) | |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-05-11 |