| NPI | 1629827969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032010) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.509392) |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2025-03-26 |