| NPI | 1508294547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209010762) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209010762) |
| 364S00000X Clinical Nurse Specialist (Licence: IL 209010762) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-09-14 |