| NPI | 1760097026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 309020838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 225207) |
| 363L00000X Nurse Practitioner (Licence: TN 34495) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 34495) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 1528933) | |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2025-02-09 |