| NPI | 1841729985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001265) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LF0000X Nurse Practitioner, Family (Licence: NV 832075) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28194001A) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209017385) | |
| Enumeration Date | 2017-06-10 |
| Last Update Date | 2022-04-20 |