| NPI | 1639627375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277002175) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP.019809) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002175) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2024-02-09 |