| NPI | 1013349158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 209010574) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010574) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209010574) | |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2024-03-05 |