| NPI | 1851801187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI AMD-1076) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085006299) |
| Enumeration Date | 2017-09-30 |
| Last Update Date | 2023-05-24 |