| NPI | 1467234179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704343974) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1183212) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209030981) | |
| Enumeration Date | 2023-10-17 |
| Last Update Date | 2025-05-06 |