| NPI | 1326476433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000523) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 28196163A) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2023-08-11 |