| NPI | 1689126799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209.015003) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015003) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2024-02-14 |