| NPI | 1114704004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041465889) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IA 149343) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G176791) | |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-10-18 |