| NPI | 1427141563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 9724) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9724) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9724-33) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-05-12 |