| NPI | 1174086599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209020276) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041428173) |
| 363L00000X Nurse Practitioner (Licence: IL 209020276) | |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2024-02-12 |