NPI | 1336475565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000316) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000316) |
Enumeration Date | 2009-10-22 |
Last Update Date | 2021-04-19 |