| NPI | 1205145299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209014981) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 404564) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209014981) | |
| Enumeration Date | 2010-09-25 |
| Last Update Date | 2022-12-05 |