| NPI | 1942700430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 8618) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ AP11551) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CT 136527) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-01-05 |