| NPI | 1588370605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026575) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1093928) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 4014800) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-01-29 |