NPI | 1881234516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9453) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CT E60332) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT E60332) | |
Enumeration Date | 2020-01-10 |
Last Update Date | 2021-05-26 |