| NPI | 1558853143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209016530) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016530) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021016496) | |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-03-22 |