| NPI | 1194285213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002135) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209019061) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2023-06-20 |