| NPI | 1801238324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011172) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9416317) |
| 163W00000X Registered Nurse (Licence: IL 041427316) | |
| 163W00000X Registered Nurse (Licence: TX 1027022) | |
| 163W00000X Registered Nurse (Licence: WI 237992) | |
| 164W00000X Licensed Practical Nurse (Licence: IL 043082745) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011172) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019457) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.019457) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-11-13 |