| NPI | 1235804246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.020886) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209020886) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.020886) | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2025-11-20 |