| NPI | 1518775691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209029273) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209.029273) |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2025-02-11 |