| NPI | 1215950415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002708) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IL 209-002942) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-002942) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2025-05-15 |