| NPI | 1346754835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277002344) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002344) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016912) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2026-05-11 |