| NPI | 1477132728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209023339) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 10516-33) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2022-08-12 |