| NPI | 1366027112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209022947) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209022947) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041383185) | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2025-11-10 |