| NPI | 1699263731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IL 277.001865) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.001865) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-12-12 |