| NPI | 1669841508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209021519) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 125459) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO 2015032902) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM CNP-03139) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2015012933) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2020-07-15 |