| NPI | 1659443810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 222426) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 129063) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 129063) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.021268) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-09-23 |