| NPI | 1548771595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.016771) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: IL 041.331782) |
| Enumeration Date | 2017-10-17 |
| Last Update Date | 2024-05-31 |