| NPI | 1093114290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209012259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NM 54476) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95021982) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 54476) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-11-17 |