| 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 |