NPI | 1427462829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.011307) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.374331) |
Enumeration Date | 2014-06-13 |
Last Update Date | 2014-06-13 |