| NPI | 1932763851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.003318) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60132575) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209023193) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2024-10-09 |