| NPI | 1972723906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.007666) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 119561) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60822873) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200450023NP) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-09-24 |