| NPI | 1023566726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 277001063) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209014747) |
| 163W00000X Registered Nurse (Licence: IL 041311863) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-12-12 |