| NPI | 1508634973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209.028881) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209.028881) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 14956-33) | |
| 363L00000X Nurse Practitioner (Licence: WI 14956-33) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209.028881) | |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2025-05-06 |