| 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 |