| NPI | 1801657853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023034767) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61574385) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209028551) | |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2025-06-02 |