| NPI | 1356164552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209034537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.512483) |
| Enumeration Date | 2024-11-05 |
| Last Update Date | 2026-02-07 |