| NPI | 1881864783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IL 209010830) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041362304) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2014-06-27 |