| NPI | 1366896193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014137) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: IL 1001099484) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2023-10-10 |