| NPI | 1942855234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 2022015074) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: IL 041402113) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209.019650) | |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2024-07-17 |