| NPI | 1427461540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209011678) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MN 121866) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: IL 041419609) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2018-03-17 |