| NPI | 1588246573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: IL 209027122) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: IA H163330) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: IL 209027122) | |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-12-09 |