| NPI | 1063525913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14307-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000067) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000067) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-09-16 |