| NPI | 1104374727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001744) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377001689) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.014716) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2022-02-03 |