| NPI | 1952033979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IN 71013870A) |
| Additional Taxonomies | 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: IL 041348592) |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent (Licence: IN 28177544A) | |
| 363LF0000X Nurse Practitioner Family (Licence: IL 209026582) | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-06-20 |