| NPI | 1588705651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309.003146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 309.003146) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209-005871) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2023-03-07 |