| NPI | 1538433248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209011481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209011481) |
| 367A00000X Advanced Practice Midwife (Licence: IL 209009369) | |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2022-06-01 |