| NPI | 1194245324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001225) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV 832880) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28191437A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-APN.0992656-C-NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277001225) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0992656-C-NP) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-10-01 |