| NPI | 1548265325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: IL 209-003106) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 041164265) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2009-12-04 |