| NPI | 1023762457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 12008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277004221) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 12008) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277004221) | |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2025-08-12 |