| 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 |