| NPI | 1356078992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-026223) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041426477) |
| 363L00000X Nurse Practitioner (Licence: IL 209-026223) | |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2024-06-18 |