| NPI | 1598594715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209033462) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041.504996) |
| Enumeration Date | 2024-07-27 |
| Last Update Date | 2026-01-28 |