| NPI | 1043979966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209024526) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041.424977) |
| 363L00000X Nurse Practitioner (Licence: IL 209024526) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-02-12 |