| NPI | 1295231397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209019679) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019679) |
| 363L00000X Nurse Practitioner (Licence: OR 201802531NP-PP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201802531NP-PP) | |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2021-04-22 |