| NPI | 1881139905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277003170) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277003170) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71007116A) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-08-15 |