| NPI | 1649761180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277003306) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2342234) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0994059) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2025-01-23 |