| NPI | 1003657883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209029821) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041478225) |
| Enumeration Date | 2024-06-04 |
| Last Update Date | 2024-07-23 |