| NPI | 1710756762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209029361) |
| Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: IL 041285100) |
| Enumeration Date | 2024-01-01 |
| Last Update Date | 2024-08-16 |