| NPI | 1811183544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209006921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209006921) |
| 363L00000X Nurse Practitioner (Licence: IN 71002467A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209006921) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2022-10-28 |