| NPI | 1336839109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209030834) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 432809) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2024-12-18 |