| NPI | 1851775977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: IL 209012222) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209012222) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209012222) | |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2023-06-24 |