| NPI | 1154054450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DC 500013746) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: CT 173506) |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: NY 822739-01) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209025799) | |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2023-11-06 |