| NPI | 1063832541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011275) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IL 209011276) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2025-04-16 |