| NPI | 1447079140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.036561) |
| Additional Taxonomies | 163WN0300X Registered Nurse, Nephrology (Licence: MO 2019006866) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2026-09-23 |