| NPI | 1942891353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704336170) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.022741) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 837100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 0997034) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-12-15 |