| NPI | 1801907589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001413) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 309-002705) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2021-06-09 |