| NPI | 1689188526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209016948) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2023-03-21 |