NPI | 1699273011 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001310) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277001310) |
Enumeration Date | 2018-01-31 |
Last Update Date | 2023-03-22 |