NPI | 1275033615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025411) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP018146) |
Enumeration Date | 2018-02-12 |
Last Update Date | 2022-09-19 |