| NPI | 1528579372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.030818) |
| Additional Taxonomies | 176B00000X Midwife |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2024-11-06 |