| NPI | 1811029499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 3976) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37224) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 003976) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-10-17 |