NPI | 1639261837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 041242941) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 041242941) |
364S00000X Clinical Nurse Specialist (Licence: IL 209000721) | |
Enumeration Date | 2006-09-28 |
Last Update Date | 2025-07-08 |