| NPI | 1306583778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.026121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041442675) |
| Enumeration Date | 2022-05-17 |
| Last Update Date | 2024-06-25 |