| NPI | 1366172645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.025316) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.399791) |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-14 |