| NPI | 1134321581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: IL 041-248717) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2025-09-11 |