| NPI | 1962451625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT 003238) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 003238) |
| 163W00000X Registered Nurse (Licence: CT 62118) | |
| 364S00000X Clinical Nurse Specialist (Licence: CT 003238) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-02-25 |