| NPI | 1790067395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 122042) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2023-03-07 |