| NPI | 1255734869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 277.000645) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 377.000624) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.011740) | |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2020-12-29 |