NPI | 1417400219 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209014424) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209014424) |
Enumeration Date | 2016-07-27 |
Last Update Date | 2023-11-09 |