| NPI | 1346706496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.027959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.381713) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2023-10-18 |