| NPI | 1770949067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000300) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209013714) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 277.000300) | |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2024-03-10 |