| NPI | 1801670450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209032162) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209032162) |
| 163W00000X Registered Nurse (Licence: IL 041424613) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-12-26 |