| NPI | 1093142226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 277000210) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209010749) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209010749) | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2023-03-16 |