| NPI | 1629273834 |
|---|---|
| Former Name | KAREN ANN SANDOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 290.013436) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209013436) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2023-10-17 |