| NPI | 1831740182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 152930) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2020-07-03 |