| NPI | 1497288492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.014810) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.014810) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2023-01-18 |