| NPI | 1083126353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 2023125387) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2013038384) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1014759) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 0192721) | |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2026-03-02 |