| NPI | 1417648148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 2023032312) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209027707) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 2023032312) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IL 041469714) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-05-02 |