| NPI | 1528622743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-018759) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209-018759) |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-11-29 |