| NPI | 1871923920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277.000001) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A086051) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G086051) | |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2020-08-04 |