NPI | 1215306360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002868) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041411176) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2024-03-26 |