| NPI | 1851625271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 4222) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT E58766) |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 4222) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2021-11-02 |