| NPI | 1942605142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209011875) |
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209-011875) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2024-09-25 |