| NPI | 1861107591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 011413) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 153956) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-07-31 |