| NPI | 1942401294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 277.000227) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000227) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000227) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2025-08-23 |