| NPI | 1922424050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000947) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 347454) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 277000947) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2025-11-14 |