| NPI | 1881483386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209.032458) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.442951) |
| Enumeration Date | 2025-05-02 |
| Last Update Date | 2025-08-04 |