| NPI | 1750830451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209014835) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209014835) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2025-06-28 |