| NPI | 1952797383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 309.008691) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012702) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 309.008691) | |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2021-05-26 |