| NPI | 1245295286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.030221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041315198) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-08-21 |