| NPI | 1851565147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 073430-23) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CT 003757) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003757) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2018-03-14 |