NPI | 1669697934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000234) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209005547) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2023-12-28 |