| NPI | 1407223258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209013011) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.013011) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NPF95003234) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209.013011) | |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2022-10-27 |