| NPI | 1972796266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4698) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-006153) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-006153) | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-04-08 |