| NPI | 1962075473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209026958) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: IL 041417477) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2023-03-22 |