| NPI | 1831638360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CT 6766) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 6766) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6766) | |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2019-10-22 |