| NPI | 1184021461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209012086) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012086) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2024-04-04 |