| NPI | 1063871028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 277.002429) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013493) |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2026-02-12 |