NPI | 1275060154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209016967) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041327994) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2023-11-27 |