| NPI | 1972958429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CT 006650) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 121611) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-08-24 |