| NPI | 1437874930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14010-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.026125) |
| Enumeration Date | 2022-10-06 |
| Last Update Date | 2023-08-21 |