| NPI | 1912194796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 000343) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: CT 003678) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2025-02-13 |