| NPI | 1245894054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 277003248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209019006) |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2025-05-07 |