| NPI | 1306330493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F402534-1) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016595) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209022066) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2023-04-17 |