| NPI | 1841583994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 004657) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist Adult Health (Licence: CT 004657) |
| 363L00000X Nurse Practitioner (Licence: CT 004657) | |
| Enumeration Date | 2011-05-24 |
| Last Update Date | 2015-01-23 |