| NPI | 1467776898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209022327) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010485) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WV APRN99740) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP024093) | |
| Enumeration Date | 2010-03-13 |
| Last Update Date | 2023-08-16 |