| NPI | 1518130707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IL 209004511) |
| Additional Taxonomies | 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family (Licence: IL 209007072) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2021-05-24 |