| NPI | 1336729490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209023146) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209.023146) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-10-26 |