| NPI | 1447851472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020415) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024048558) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024048558) | |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-12-13 |