| NPI | 1033604954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.017812) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001991) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71008626A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008626A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ 251171) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001991) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 251171) | |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2023-01-31 |