NPI | 1295197697 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277-002521) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013602) |
Enumeration Date | 2016-03-24 |
Last Update Date | 2024-10-02 |