| NPI | 1568005072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209021736) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 23128) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014083A) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-07-07 |