| NPI | 1528755865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 209027438) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: IL 041428816) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: IL 209027438) | |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2025-04-14 |