| NPI | 1093268427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IL 209104067) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist Gerontology (Licence: IL 209014067) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |