| NPI | 1316356710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 377.001534) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.007549) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209011691) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309.007549) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.001580) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2021-09-15 |