| NPI | 1952704116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209011941) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277003549) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209011941) | |
| Enumeration Date | 2014-10-02 |
| Last Update Date | 2026-05-12 |