| NPI | 1285172643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001664) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015537) |
| 163WE0003X Registered Nurse, Emergency (Licence: IL 041411039) | |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2026-03-23 |