| NPI | 1912372350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 6406) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 116134) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2026-01-02 |