| NPI | 1689908220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209007740) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000092) |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2022-02-23 |