| NPI | 1952693731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277000492) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: IL 041380764) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209012601) | |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2020-02-10 |