NPI | 1043558265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209019306) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209019306) |
Enumeration Date | 2013-01-23 |
Last Update Date | 2024-10-28 |