| NPI | 1417212150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209009729) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: IL 041370037) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201500684NP-PP) | |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2023-12-14 |