NPI | 1427474402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.011337) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011337) |
Enumeration Date | 2014-03-13 |
Last Update Date | 2025-02-19 |