| NPI | 1144757154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209015831) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209015831) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209015831) | |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2024-04-02 |