| NPI | 1194723312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001078) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK R0086728) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209001078) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209-001078) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0086728) | |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2023-01-12 |