| NPI | 1801231741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 277001131) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 209-010249) |
| 363LF0000X Nurse Practitioner Family (Licence: IL 277001131) | |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2025-07-23 |