| NPI | 1467654772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209007047) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209007047) |
| 163WG0600X Registered Nurse, Gerontology (Licence: IL 209007047) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209007047) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-11-06 |