| NPI | 1548891880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209020826) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL F01200349) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209020826) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2024-09-18 |