| NPI | 1770940231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201607000NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041423584) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209013909) | |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2024-04-10 |