| NPI | 1982176020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CT APRN8112) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 8112) |
| 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03579) | |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2023-12-27 |