| NPI | 1770047615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277.000966) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.391451) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000966) | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2022-03-29 |