| NPI | 1386110708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-018120) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: IL 309.013502) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 209018120) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 309013502) | |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-02-18 |