| NPI | 1871558858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G187563) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209003743) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2025-11-12 |