| NPI | 1013015387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209001671) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209001671) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-04-22 |