| NPI | 1922629914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 9209) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CT 112236) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: CO 1670578) | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-10-15 |