| NPI | 1851997191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 9412) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: CT 116434) |
| 363LF0000X Nurse Practitioner Family (Licence: NY F347068) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2024-10-28 |