| NPI | 1962075515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 13398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 89236) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-11-13 |