| NPI | 1518523133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209028317) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209028317) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.028317) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041397782) | |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-07-30 |