| NPI | 1447801873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 31041) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041392017) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-07-11 |