| NPI | 1972078350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209027297) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 209027297) |
| 163WC0400X Registered Nurse, Case Management (Licence: IL 041373208) | |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2023-10-10 |