NPI | 1942494034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277001718) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-000175) |
Enumeration Date | 2007-08-31 |
Last Update Date | 2023-06-08 |