| NPI | 1477822344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209009448) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3007133) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309.005775) | |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2012-04-05 |