| NPI | 1780118885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11003223) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209015760) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209015760) | |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2024-05-13 |