| NPI | 1437632981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209018147) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71009272A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209018147) | |
| 163W00000X Registered Nurse (Licence: IL 041418907) | |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2021-01-13 |