| NPI | 1790249449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209018734) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209018734) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.002893) | |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2024-02-09 |