| NPI | 1558198507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 2024064575) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209033670) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1204876) | |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2026-05-15 |