| NPI | 1184285926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209019540) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019540) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-02-15 |