| NPI | 1801437629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209027139) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041392796) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-04-09 |