| NPI | 1346891264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209020088) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209020088) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2019-11-13 |