| NPI | 1881180206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021035) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN000023878) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209021035) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2025-01-05 |