| NPI | 1164890869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209013236) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041.256894) |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2024-09-05 |