| NPI | 1801662077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WM0102X Registered Nurse, Maternal Newborn (Licence: CT 10.R53769) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 015097) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2026-03-18 |