| NPI | 1831537943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ap60696757) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209012592) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041309380) | |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2023-05-03 |