| NPI | 1912675901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9517579) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 041358697) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 28250636A) | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |