| NPI | 1043707409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017044027) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209017358) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2022006449) | |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2023-05-10 |