NPI | 1538698923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 11591625-4406) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041309049) |
363L00000X Nurse Practitioner (Licence: UT 11591625-4405) | |
367A00000X Advanced Practice Midwife (Licence: IL 209004208) | |
Enumeration Date | 2017-06-08 |
Last Update Date | 2021-06-17 |