| NPI | 1972913952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 277002145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95003237) |
| 363L00000X Nurse Practitioner (Licence: IL 277002145) | |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-01-31 |