| NPI | 1689291825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209024900) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041449535) |
| 363L00000X Nurse Practitioner (Licence: IL 209024900) | |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2024-03-06 |