NPI | 1437944675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032425) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041500251) |
Enumeration Date | 2025-04-09 |
Last Update Date | 2025-06-04 |