| NPI | 1821220187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 4047) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 4047) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 4047) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NY 335653) | |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2026-05-22 |