| NPI | 1750907861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277004429) |
| Additional Taxonomies | 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: IL 277004429) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: IL 277004429) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277004429) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2026-06-11 |