| NPI | 1760097026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309020838) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 34495) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1528933) | |
| 163W00000X Registered Nurse (Licence: TN 225207) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2024-04-30 |